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General NPI Number Information
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NPI Number | 1912146325
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Entity Type | Individual
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Provider Name | CHARMAIGNE SCANES FNP
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Gender | Female
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Dates
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Enumeration Date | 02/09/2009
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Last Update Date | 06/06/2024
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Provider Practice Location Address
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Address Line | 12725 W INDIAN SCHOOL RD STE E
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City | AVONDALE
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State | AZ
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Zip | 85392-9520
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Country | US
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Telephone | 845-337-9665
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Fax | 833-527-1531
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Provider Business Mailing Address
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Address Line | 22644 W PIMA ST
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City | BUCKEYE
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State | AZ
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Zip | 85326-8945
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Country | US
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Telephone | 845-337-9665
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Fax | 833-527-1531
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | F346893
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 243834
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License Number State | AZ
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